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5099 C/O Paid - - CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date � �'�'h)sce This is to certify that work requested to be done as shown by Permit No. :O99 has been completed. This structure may be occupied as a �' /r �1;)i %. �'�1 I I/ LOCAtiOn L o `, =® ! Itehyl Owner ice' f�t / : . JAkel By Order Town Board TOWN OF QUEENSBURY -, • Building & Zoning Inspector CREATIVE "INSTA" PRINTING. GLENS FALLS. N V 121301 1518)793-565S -143' BUILDING PERMIT TOWN OF QUEENSBURY No. 5099 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Robert Weaver Jr. OWNER of property located at Lot .42 Helen Street Street,Road or Ave. 0 in the Town of Queensbury,To Construct or place a One-Family Dwelling . at the above location in accordance to application together with plot plans and other information hereto filed and ,c' approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is C 6E Manor Dr. H Glens Falls, N. Y. ti n 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDERS Address Same r o , 4. ARCHITECT'S Name • ,.N ' lD 5. ARCHITECT'S Address aD rt- 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications - No 50' x26' per plot plan, specifications and application submitted including two-car attached garage and sewage system. 8. Proposed Use One-Family Dwelling o . . m $5 .00 C/0 Paid $ 60,00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 78 . (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (town of Queensbury before the expiration date.) '< . l7 Dated at the Town of Queensbury this 7 th Day of April 19 7 8 SIGNED BY /:J.-EL'l c1L �'` �� � for the Town of Queensbury Building g and Zoning Inspector ,. TOWN OF QUEENSBURY I (Space inside block to lx filled in by WARREN COUNTY, NEW YORK - Building Inspector) • Application for Application No. . ppPermit Issued 19. . BUILDING AND ZONING PERMIT ►'ermit Expires. . 19. i.c,nlnv. District • \Vlue „I Work' • • THREE .(3) Copies of a PLOT PLAN, Drawn to scale •\1'1"'"`c cl by showing the actual dimensions of the lot to be built hcimi1')Cf'. upon, The exact size, and location on the lot of the • building to be erected or altered MUST BE SUB- — )u >;.� ur Cl1Lt1�lSt3UttY MITTED WITH THIS APPLICATION. REGflVE ..��'I (ii1U DATE APR n •78 e C\ I� �J f t7 I• A.M. P.M. A PERMIT MUST BE OBTAINED _BEFORE BEGINNING WORK 5 `%le.e dl ANSWER ALL OF THE FOLLOWING. 7I8I9I10I11I12)1I2I3I4I5I6 A. The undersigned hereby applies•for a permit,-to do the following work which will be. done in accordance with:the description, plans and specifI- /�� cations, and such special conditions as may be indicated on the permit. propertyIs::. . . . . . . . . . \..).0.Z.A . :. :.s.,(1C---- E.' W\fklk)°g.- DK__ . C; (NA'••El (P.O.ADDRESS) . The person responsible for :supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: S -1/1/\_cam... . (NAME) • (P.0 ADDRESS) - Name of Builder • t::(2-1(746 • • .Address • t Name of Plumber'. ' ��— - ' ' Address C� QcS v �' �I r �1 i/ t Name of Mason. . - ll Address Lot Number . ti-Z-- Unit Estimated value of proposed work 5 . 3c,} (.9-,� Name of Village • Name of Street g L2 ) S' �[ Side of street: north east 0, south O. west 0 Nearest Cross Street N-2(NP f C to S Distance from this •ri•oss street . / ? U Ft. Property is north l.,south ❑,east [-I, west 0 from'Cross Street If on Corner, which corner,northeast. ❑, northwest ❑, southeast (_1. southwest (Designate by-marking•with an "X" in the correct space.) NATURE OF PROPOSED WORK - OCCUPANCY Construction of a new building. . Main Building ❑ Addition to a building. One-family.dwelling 0 Alteration to a building. dwelling family 0 ❑ Demolition of a building. . . . . . .-family apartment house ❑Store building ❑ -car attached garage ❑ Other: Accessory Building • One-car detached garage . El ❑ Other work. Describe Two-car detached garage Private chicken house ,. t] Private storage building - 0 Other: ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. - Indicate on the plot plan street names, the location and • size of the property, the location, size and setbacks of pro- • posed buildings, and the location of all existing buildings. NORTH Show proposed buildings) in.dotted line and existing ltuilding(s) in solid line. Size of property ./0 C.) ft. x . . (. . .. . • • ft. Size and use of existing buildings, if any • - tn s m Size of proposed building . . . ^ • • • ft.x ft. • Height (from grade to ridge) ft. . Front yard -3'5 ft. Side yards 2 G ft. and 3 G ft. • Rear yard /D / ft. SOUTH If on corner,setback from side street ft.. Note: All distances are net, as measured from street side ., line to nearest part of building, - (OVER) • 7-73-M / . (coned.) BUILDING SPECIFICATIONS., Kind of construction. Wood framejlre safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . .!v c-' If sp., for what? Material of foundation walls ' Y.r2 i '!" COC�L�11.lC�.�!. .�. .j. . . . . . . . . .�. . . . . . . . Thickness Depth of foundation walls below grade . . . 5— r Continuous foundation? Will there be a cellar? . .9l_5 If so, material of cellar floor . . . C- .��(�.f—.1. . . . . . . . . . . . . . . . . . . Type of roof:{a'or flat? Material of roof . . . . .'%f 1'1i(4 L Size,wood studs 2.- " x ", spacing / C' "o.c., length. . . . ft. Size, floor beams, 1st floor . . . "x . . 4- / , spacing / G "o.c., span / ft. Size, floor beams, 2nd floor " x /0 ", spacing / C "o.c., span . . . .j . . . . . . ft. Size, c • • beams 1 a.L),:Z 5 " x . . '?70� ', spacing . . . 2.y. . ... . ."o.c., span . . . ft. Size, roof rafter bea� " x ", spacing "o.c., span ft. Exterior finish With what material? . . ././US.U.c./J - Finish of interior walls. . . . . .S.j'(:�rz.l foG1� If gara a is to be ad, of what material is wall between garage and main bui,lding to be constructed? Fl(=ttache Q.,7` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening bet eeej g ra e and/wilding? . . . .y.i ` 4'1 rum p Kind of heating system IOil burner or coal? Will a flue-lined chimney be provided? . Depth of chimney foundation below grade Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. • • . . . . . . . . . . . . . . . .. . . . . Will there be a fireplace? 't 5 Depth of fireplace hearth . C Will a toilet be installed? , Will a kitchen si installed and connected to water supply? _'-5 Water suppl ublic water-supply or pump) Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? u� -s Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt bra r of my knowledge and belief the statements contained in a applicatio ,together with the plane d specifications sub- mitted, area true and co.a.plete statement of all proposed work to be done the desert remises and that all p • ions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaini the p po or shall be complied with then specified or not, and that such work is authorized by the owner. r Simi!:befle me this Signature �,fi . R.OWNER'S AGENT,ARCHITEC ONTRACTOR U.. day of 19/.. .. . ' ((( NOTARY PUBLIC, WARREN COUNTY,.N. Y. SPECIAL CONDITIONS OF THE PERMIT: By TOWN OF WEENSBW'/' 7g11"1 ; DE-TTI-ENT LJY. 131:11 BAY 8. HAV] LAND ROADS, R. D. #1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY OCCUPANTgS NAME ADDRESS TELEPHONUILLY-7 OWNERvS •c112.-- ,NI.MMER OF BEDROOMS4 . ___ ____ GARBAGE GRINDER? (YTS ORO_OD TOPOGRAPHY: OMOROLLING, STEEP, SLOPE, GENTLE SLOPE, OTHER NATURE OF SOIL: CLAY, (SANDY'ZLOAM, GRAVEL, ROCK, ETC. PERCOLATION TEST . WATER SUPPLY:C-TJUNCIPAL;)VELL, OTHER ------. DIAGRAM OF PROPOSED SEPTIC SYSTEM Bo OTHER PERTINENT INFORMATION 6 0 e 6)6 ( *ape•aslioaspi NS*.mat .59.Wecme *4*,••••. IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WIL BE MADE IN CCORDANCE WITH RETAILS SHOfJNO DATEC, SIGNATURE OF APPLICANT --.•nr•••dos•amew9na=s.. LAKE GMGE PARK CO1MISSLON APPROVAL !�ly,9�sr:.AkJ._(Ai:J.%._%')l_._C._?n"<<.4Y.:.IN..$_,V. .<..gP4:Jm".4i..N Yi- .:3_.T/_.)_.%._.N:: i-AI.n.1.N4.'rAx•..v.n..._llti)_.%.-J_./: ._:)_N-mIJ_ e.l.).%,-Atl 4l__,I_n". "i_C.IN..M."4gti_.)..n..s m•4-Inir. 61 io THE NEW YORK BOARD. OF FIRE UNDERWRITERS j 1>" BUREAU OF ELECTRICITY 4 41 STATE STREET,ALBANY,NEW YORK 12207 0� Date Application No.on filepli THIS CERTIFIES THAT iT -<+ only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of rP ti a+ in the following location; 0 Basement 0 1st Fl. ❑ 2nd Fl. Section Block Lot • 0, was examined on and found to be in compliance with the requirements of this Board. a A- j, FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS y { MERCURY OUTLETS INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ft 14 MIE + DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS +T + AMT. K.W. • GAS H% .P. AMT. NO. A.W.G. AMT, AMP. AMT. AMPS. TRANS. AMT. H P. SYSTEMS AMT. WATTS NO.OF FEET y? 1 N. �+ h a SERVICE DISCONNECT NO.OF S E R V I C E Y AMT. AMP. TYPE METER 1,B'2W 1,B"3W 3,0.3W 3,B'4W NO,OF CC..COND. OF CC.COND. NO.OF HI-LEG OF.HI•LEG NO.OF NEUTRALS OF NEUTRAL 'N • + ,,0- 4 OTHER APPARATUS: •4 rr °G ,N f 0- 1� Ir 41. 8- BRANCH MANAGER +y Per oii YYYYYYYYYYYYYYYYY YYYY YYYYtYY•YYYY'YYYYYYYYYYYrYYYYYYYYYY"YYYYYYYYYrYYYY`CYYYYYrYYYYYYYYYYVI' YYYYY-Y YYYYY`C YY-YYYY COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN- OF QUEENSBURY Building Department Inspectors Re, ort Date 6/026 hs Nam — eaki: Location f.or sf !i 'Mier, Sr-- Permit No. —5.0 99 Weather Per Cent • Remarks ' Complete Excavation Footing Forms • Footing & Piers Foundation • Cement Coat Waterproofing ' Backfill Final Survey • Framing Sheathing Roof Felt 11 • Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board /,� Ext.Porches • O Finished Floor Interior Trim ` Stairs&Railings . Cellar Dr.Tile `, Concrete Floors ! Plhg.Fixtures • Gar.Fireproofing Door Closers Chimney • Water Meter Inst. Septic Approval Building Inspector REMARKS /.`7 /2.A/H!fiy- TOWN OF QUEENSBURY Building Department Inspectors Report Date J / el /,71' Name f J/ // Tf lr/ /'///// Location Permit No. • Weather Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing I/ ()Ii/(\ Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. /C.:_ Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim _ Stairs&Railings Cellar Dr.Tile Concrete Floors e� Plhg.Fixtures Gar.Fireproofing Door Closers Chimney • Water Meter Inst. Septic Approval �1 15.,�) LV Building Inspector REMARKS • T•War OF QUEENSBURY Building Department Inspectors Repor0. _ Date `1/9 l Nance rC � � Location Permit No. coy 9 Per Cent Complete Raara�vka Excavation Footing Forms Footing & Piers Foundation Cement Coat /_-/ ,fir . Waterproofing / �'� �'�r �� 1: C Backfill Final Survey • Framing Sheathing _ Roof Felt Roofing Siding ^� _ Masonry Veneer Rough Plbg. Rough Ht Relief Valves Wall Board - • Ext. Porches Finished Floor L� _ Interior Trim { I -- Stairs&Railings • Cellar Dr.Tile Concrete Floors Plhz.Fixtures Gar.Fireproofs Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector REMARKS • 47 c 1` �''`■ V q:, `� 1 -_? 1 4d0- -...,C -7..y bf I